 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Kim To, MHS1, Jane A. Bernzweig, PhD1, and Abbey Alkon, RN, PhD2. (1) Family Health Care Nursing, University of California, San Francisco, California Child Care Health Program, 1322 Webster St. Suite 402, Oakland, CA 94612, 510 281-7923, kimto@itsa.ucsf.edu, (2) Department of Family Health Care Nursing, University of California, San Francisco, 2 Koret Way, Box 0606 Room N411Y, San Francisco, CA 94143-0606
Children in out-of-home care have more health problems than children cared for at home. The Child Care Health Linkages Project supports child care health consultation services in 20 California counties. The three-year evaluation study describes changes in child care health and safety of both control and intervention child care centers. Data collection includes a review of on-site child health records and observations of health and safety compliance with key National Health and Safety Performance Standards. The Child Care Evaluation Worksheet documents children’s health status and their access to medical care based on children’s health records. The Health and Safety Checklist contains 66 observable health and safety items. Preliminary results of baseline data from a review of 2053 health records show that 75% of children have up-to-date immunizations, 48% have health insurance, and 26% have special health needs. Observational data shows that on 38 of the 66 key Performance Standards on the Health and Safety Checklist, more than 50% of centers were not fully compliant. Results show that there are a substantial number of children in child care with special health needs and few have health insurance. Not all children enrolled in child care have up-to-date immunizations required by law. Centers rate poorly on key Performance Standards in health and safety. Follow-up outcome data will be analyzed to show the changes in child health status and compliance with health and safety standards. Comparisons between control and intervention centers will be made.
Learning Objectives:
Keywords: Child Care, Child Health
Related Web page: www.ucsfchildcarehealth.org
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.